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National Healthcare Disparities Report - LDI Health Economist

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<strong>Health</strong> System Infrastructure<br />

n Discharge percentage:<br />

o The percentage of Medicaid and uninsured patients discharged from government hospitals was<br />

significantly higher than from private hospitals. Compared with private nonprofit hospitals, a<br />

greater percentage of patients discharged from investor-owned hospitals was covered by<br />

Medicaid or uninsured.<br />

o Nearly 30 percent of patients discharged from teaching hospitals were uninsured or covered by<br />

Medicaid, compared with about 24 percent of patients in nonteaching facilities.<br />

o Although the difference in percentage of Medicaid and uninsured discharges was statistically<br />

significant between metropolitan and nonmetropolitan hospitals, regional differences were noted.<br />

Hospitals in western States discharged a greater proportion of Medicaid and uninsured patients<br />

(31%), while hospitals in the Midwest discharged the lowest percentage of patients (21%).<br />

n Aggregate costs:<br />

o Nearly one-third of government hospitals’ patient care costs were associated with the Medicaid<br />

and uninsured population; about one-fifth of costs for private nonprofit hospitals was associated<br />

with this population.<br />

o Among hospitals in the West, Medicaid and uninsured patients accounted for about 24 percent of<br />

inpatient costs compared with 16 percent among hospitals in the Midwest.<br />

Chapter 8<br />

<strong>National</strong> <strong><strong>Health</strong>care</strong> <strong>Disparities</strong> <strong>Report</strong>, 2011<br />

217

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